HOLLY KAY MOORE NP
NPI 1295018968
Nurse Practitioner in Coeur D Alene, ID

Q: What is Holly Moore's NPI number?

The NPI number for Holly Moore is 1295018968. It was assigned to this individual provider in the NPPES registry on September 20, 2011.

Q: What is Holly Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: Is Holly Moore enrolled in Medicare?

No. Holly Moore has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Holly Moore was last updated on February 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 20, 2011Opted out of Medicare · through Oct 1, 2027

3320 N GRAND MILL LN, COEUR D ALENE, ID 83814(208) 765-9100(208) 765-9103 Get Directions Write a Review

NPPES record last updated: February 23, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Holly Kay Moore Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOLLY KAY MOORE NP (NPI 1295018968) is an individual nurse practitioner in Coeur D Alene, Idaho, licensed in Idaho (NP1098A) and active in the NPI registry since September 2011. She has opted out of Medicare through October 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1295018968

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameHOLLY KAY MOORECredential: NP

Location Address3320 N GRAND MILL LNCoeur D Alene, ID 83814-5689

Mailing Address3320 N Grand Mill LnCoeur D Alene, ID 83814-5689 · (208) 765-9100 · Fax (208) 765-9103

Phone(208) 765-9100

Fax(208) 765-9103

Sole ProprietorNo

Enumeration DateSeptember 20, 2011

Last NPPES UpdateFebruary 23, 2023

NPPES CertifiedFebruary 23, 2023

✔ NPI 1295018968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in ID · NP1098A

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

3320 N GRAND MILL LN, Coeur D Alene, ID 83814

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Holly Kay Moore Np has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2023 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2023

Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83814 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$93.26 typical visit price

range $16.68 – $130.93

Typical copayment $23.31 (range $4.17 – $32.73)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf L0642

DME-Orthotic Devices · category DF007N

1 supplier15 claims15 services$231.75 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SEAN MICHAEL HUNTER CST

Specialist/Technologist, Other (Surgical Assistant)

3320 N GRAND MILL LN
COEUR D ALENE, ID 83814

Kootenai County (208) 765-9100

KRISTI MARIE FLICKER LD

Dietitian, Registered

3320 N GRAND MILL LN
COEUR D ALENE, ID 83814

Kootenai County (208) 765-9100

COEUR D ALENE SPINE AND BRAIN PLLC

Specialist

3320 N GRAND MILL LN
COEUR D ALENE, ID 83814

Kootenai County (208) 765-9100

DR. JEFFREY J LARSON MD

Neurological Surgery

3320 N GRAND MILL LN
COEUR D ALENE, ID 83814

Kootenai County (208) 765-9100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Holly Moore's NPI number?

The NPI number for Holly Moore is 1295018968. It was assigned to this individual provider in the NPPES registry on September 20, 2011.

Where is Holly Moore located?

Holly Moore practices at 3320 N Grand Mill Ln, Coeur D Alene, ID 83814. The listed phone number is (208) 765-9100.

What is Holly Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Holly Moore enrolled in Medicare?

No. Holly Moore has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Holly Moore was last updated on February 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.